Pregnancy after removal of the endometrial polyp reviews. Diagnosis of an endometrial polyp

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The appearance of growths can overshadow a woman's period of expectation of a child. How compatible are the polyp and pregnancy if their appearance occurs in the endometrium of the uterus or in cervical canal? What are the causes and symptoms of the process, is there a threat to the fetus, is it necessary to have an operation to remove it - issues that concern women reproductive age, with the answers to which you need to figure out.

What is a polyp

The mucous membrane of the uterine cavity - the endometrium - is regularly updated during menstruation. When for a number of reasons there is an imbalance between progesterone and estrogen, hyperplasia may begin - the proliferation of tissue cells. It leads to the appearance of a growth inside the uterus, on the cervix or in the cervical canal. This education:

looks like a mushroom on a thin stalk or a flat growth;
it happens solitary or groups are observed;
ranging in size from a few millimeters to two or more centimeters.

The appearance of pathology during the growth of the endometrium prevents the onset of conception, becomes the cause of infertility. Polyp formation:

impairs the patency of the genital tract due to blockage fallopian tubes, a large number growths;
prevents the fertilized egg from entering the uterus;
leads to the absence of ovulation as a consequence of hormonal changes - conception becomes impossible;
violates the state of the endometrium, the fertilized egg cannot take root in the uterus;
in case of conception, it threatens the development of the embryo, there is a risk of miscarriage.

Types of polyps

If a polyp appears in the uterus and pregnancy is only planned, it can be removed and after a while the baby will be born. You need to know that there are varieties of growths. Distinguish:

Polyp of the cervical canal, located between the vagina and the uterus, - benign neoplasm, which is rarely removed during pregnancy, often does not interfere with its development. It may disappear when hormonal changes occurring during this period.
Decidual outgrowth, the cause of which is the reaction of the endometrium to pregnancy, may disappear after childbirth.

There are types of polyps depending on the cells of which it consists:

placental polyp - grows from a piece of the placenta left after childbirth;
glandular - has a loose structure, lends itself hormone therapy;
outgrowth from fibrous tissues - dense, can develop into malignant form, requires surgical intervention;
adenomatous polyp - precancerous condition, the most unfavorable case, an urgent operation is necessary;
glandular-fibrous - consists of glandular cells, connective tissue, preferably removal.

Is it possible to get pregnant with a polyp in the uterus

This question worries many women, especially those who have not given birth. Endometrial polyp and pregnancy - how real is the probability favorable outcome? The situation is ambiguous - it is not uncommon for cases of successful conception in the presence of growths. It is important that the growth of the endometrium does not always lead to infertility. Gynecologists recommend when planning a pregnancy:

do ultrasound examination;
undergo a gynecological examination;
take tests;
if a polyp is found, treat or remove the neoplasm.

Even if a woman becomes pregnant with the appearance of a small neoplasm, it is necessary constant surveillance at the doctor's. The growth can provoke placental abruption, while:

decrease in the flow of blood into it;
there will be a delay in development;
worsen the nutrition of the embryo, the ingress of oxygen;
fetal hypoxia will occur;
Great chance miscarriage.

Polyp of the cervical canal during pregnancy

The successful passage of all stages of fetal development depends on the state of this zone of the female genital organs. At the slightest deviation, termination of pregnancy, death of the embryo is possible. The appearance of a polyp in the cervical canal - dangerous situation accompanied by symptoms:

bloody discharge with an unpleasant odor;
drawing, cramping pains;
the appearance of whites;
bleeding after gynecological examination, sexual intercourse.

What to do if a polyp is found in the cervical canal during pregnancy? Doctors recommend:

in the case of a decidual form with a build-up size of less than 1 cm and no signs of isthmic-cervical pathology, treatment and removal should not be performed;
at large sizes, the presence of inflammation, to eliminate the threat of miscarriage, trauma to the cervix during childbirth, surgical intervention is necessary.

Causes

Why polyps grow is not fully understood by doctors. There are factors that provoke the development of growths. These include:

hormonal disorders;
proliferation of blood vessels;
diagnostic curettage;
inflammatory pathologies of the genital organs, causing growth endometrium;
immune disorders;
mechanical trauma during childbirth, surgical abortion.

The cause of the appearance of polyps can be:

endocrine diseases;
heredity;
diabetes;
arterial hypertension;
estrogen production with excess weight;
stagnation in the pelvic area with limited mobility;
taking medications;
violation of metabolic processes;
bacterial infections;
incomplete detachment of the placenta during childbirth;
venereal diseases;
medical abortion;
use of an intrauterine device.

Main symptoms

The fact that growths appeared in the uterus, on the neck or in the cervical canal can be judged by characteristic signs. It is important to contact the gynecologist in time so that there is no threat to the health of the woman and the unborn child, especially when a polyp is found and pregnancy has already begun. Doctors note the symptoms of growths:

violation of the menstrual cycle;
uterine bleeding after menopause;
infertility;
IVF failures;
discharge between periods.

The appearance of decidual growths during pregnancy is characterized by:

cramping pains in the lumbar region;
bloody discharge after a gynecological examination;
the appearance of white mucus with an unpleasant odor;
spotting bleeding after exercise;
aching, pulling pains in the lower abdomen.

Polyp bleeds during pregnancy

The appearance of such a symptom is possible with an injury that is caused by external influence- doctor's instruments during examination, sexual intercourse. The danger of the situation - an infection can enter through a thin damaged wall of the growth, threatening health. Bloody issues arising from neoplasms big size or located in the cervical canal, require medical supervision. They can:

disappear and appear;
intensify and calm down.

Possible Complications

The appearance of neoplasms during pregnancy leads to grave consequences. Possible complications:

ovarian dysfunction;
inflammation of the endometrial layer of the uterus;
female infertility;
development into cancer;
malformations of the embryo;
spontaneous abortion;
detachment of the placenta;
ectopic pregnancy;
development inflammatory processes;
uterine rupture;
heavy bleeding;
sepsis;
problems during childbirth due to weakening of uterine contractions;
fetal death.

If the neoplasms are small and do not change during pregnancy, they do not harm the embryo. The exception is a few moments when the growths:

are malignant - mandatory removal is required;
become inflamed, serve as a source of infection, - antibacterial treatment is carried out;
cause cervical dilatation as a result premature birth, miscarriage, - a pessary is used - a special ring is put on or sutured (before birth process stitches are removed).

Polyp during early pregnancy

If a neoplasm in the uterus or cervical canal appeared before pregnancy, fertilization was successful, the embryo took root, it is likely that it will not bother the woman and the growing fetus. It is important to be under the supervision of a gynecologist for the entire period. Doctors use:

surgical removal between 12 and 14 weeks with the development of an inflammatory process, an increase in the size of the growth, bleeding that threatens health;
to exclude infection in early pregnancy - with the growth of a neoplasm in the cervical canal - antibiotic therapy.

Treatment Methods

Doctors do not consider the appearance of growths during pregnancy a tragedy if they do not tend to increase. It is necessary to regularly visit a gynecologist to monitor the condition, especially when dangerous symptoms. Often, no treatment is required, and the growth resolves on its own or is removed only after childbirth. Under the supervision of a doctor are prescribed:

drugs - analogues of the hormone progesterone - Duphaston;
antibacterial treatment, when the cause of growth is inflammation of the genital organs.

Gynecologists prefer to avoid surgery during pregnancy to eliminate the risk of spontaneous abortion after surgery. Women are prescribed:

more frequent passage of ultrasound - to monitor the dynamics of changes in the size of the build-up;
observance of sexual rest during pregnancy;
limitation physical activity.

Polyp removal during pregnancy

Surgical intervention when a polyp appears on the endometrium or cervical canal is undesirable - it can harm the fetus. There are situations where this is necessary. There are a number of indicators for carrying out operations during pregnancy. These include:

growth sizes exceeding 1 centimeter;
a constant increase of more than 2 mm per month;
profuse bleeding, threatening abortion;
the appearance of additional processes;
risk of fetal infection.

There are several methods of performing the operation, the most modern of them is hysteroscopy. Removal of polyps in the uterus during the period of expectation of the child is unacceptable - this will cause irreparable harm to the embryo. You can excise the growth in the cervical canal. For this:

conduct anesthesia - it is desirable to perform anesthesia with an individual selection of drugs, taking into account contraindications for a pregnant woman;
disinfect the genitals;
expand the cervical canal;
with the help of a special device - a hysteroscope - the growth is excised.

Is it possible to get pregnant after removing the endometrial polyp

This question worries many women, especially if they do not have children. After the operation, a course of hormonal therapy is prescribed, its duration is determined by the gynecologist. During this period:

the woman is under dispensary registration with a doctor;
regularly takes tests;
undergoes an ultrasound examination - relapses are possible - the reappearance of growths.

Patients must follow the doctor's instructions after the removal of the neoplasm, conduct timely treatment. Important points to consider:

you can get pregnant two to three months after the course;
it is not recommended to delay the process of conception - there is a high probability of new growths, especially if the removal is not carried out completely.

Surgical interventions, especially in the intimate sphere of a woman, are almost always stressful for the body, especially from the position psychological factor. However, in some cases, they are able to bring the onset of a long-awaited pregnancy closer.

Even if a woman does not have obvious health problems, at the stage of pregnancy planning, it is desirable to undergo elementary examinations, such as an examination by a gynecologist on a chair, taking smears and performing a vaginal ultrasound. If a pathology such as a polyp (of the uterus or cervical canal) is detected, it is best to treat it before pregnancy, rather than subsequently bear the baby and be in constant tension and fear. At the same time, many women are concerned about the question, when is it possible to become pregnant after removing the polyp and after how long can you start planning a baby? To answer these questions, it is necessary to deal with the actual problem of the polyp, the procedure for its removal and the features of the recovery period.

Pregnancy after removal of the endometrial polyp

Not all women have perfect health. Endometrial polyp of the uterus is a pathology, unfortunately, not too rare, but, fortunately, not too dangerous.

What is an endometrial polyp

A uterine polyp (or endometrial polyp) is a benign cellular neoplasm that occurs on the mucous surface of the uterine body. Its size can vary from 1-2 mm in diameter to walnut. Most often, the polyp itself does not cause any discomfort, does not manifest itself in any way, but is discovered by chance during a routine examination.

There are the following main types of polyps:

Glandular.
Fibrous.
Glandular fibrous.
Glandular cystic.
Adenomatous.

Because it is to the uterine endometrium that a fertilized egg is attached, the presence of a polyp can be a serious obstacle to pregnancy. The causes of such growths have not been fully established. Predisposing factors are hormonal disorders, damage to the endometrium during surgical interventions (abortions), chronic foci of inflammation in the pelvis. However, even if conception did occur in the presence of a polyp, for all 9 months the woman will be under increased supervision due to the presence of a formation in the uterus. That is why even at the stage of pregnancy planning, polyps are categorically recommended to be removed.

How is a uterine polyp treated?

Treatment of polyps is prescribed only if this formation does not resolve - there are cases when the disease found in the current menstrual cycle polyp, after the next menstruation disappeared. If this does not happen, treatment is carried out. Polyp therapy is complete removal neoplasms - the polyp itself and its legs. Removal of the stem is necessary to prevent re-growth of the polyp. Many women are afraid of surgical procedures because of the fear of unnecessary injury to the endometrium. You should not worry too much, because removal of the polyp is not performed blindly, but under the control of hyperoscopy. The doctor accurately sees the localization of the polyp and removes the formation “under the root”.

When to plan pregnancy after endometrial polyp removal

When medical manipulations completed, the woman is concerned about the main question - when can you start planning a baby? It is impossible to give a definite answer to this question. Each case is considered individually. The decision depends both on the scale of the manipulations and on the availability of comorbidities(and the need to eliminate them). After the removal of the polyp, if it was an independent procedure, it is recommended to refrain from at least 1 menstrual cycle (a month from the first menstruation after the operation), and preferably 3. This time is usually enough to restore the endometrium for after removal of the polyp. A woman can become pregnant even earlier - in the very first cycle after the operation - the question is whether she can endure such a pregnancy, because a certain area of \u200b\u200bthe inner layer of the uterus was injured. Assessing the possibility of planning crumbs, the doctor takes into account the following factors:

The general health of the woman.
Whether or not her menstrual cycle has returned (although it is known that pregnancy can occur before the first period after the operation).
Are there other diseases of the reproductive system.
Evaluation in progress hormonal balance woman's body.

First of all, it is necessary to take care of the restoration of reproductive function. female body. To do this, it is important to follow all the recommendations of a gynecologist. Accepted List medicines depends on overall picture women's health and selected individually.

The minimum "set" of components for successful conception and pregnancy after removal of the uterine polyp are:

Normal picture on ultrasound.
Absence of foci of inflammation (in the pelvic organs).
Absence of gynecological infections.
Hormone levels are within normal limits.

If at the same time the woman does not experience discomfort and does not complain about her well-being, the doctor gives the go-ahead for pregnancy planning. Excessive haste in this matter can lead to not very good consequences- problems with conception, difficulties during gestation or even pregnancy failures. The latter again pushes back the moment of motherhood due to the need for recovery.

Important!
Unnecessarily delaying the planning of pregnancy after removal of the uterine polyp is also not worth it. This pathology has a tendency to relapse, so it is recommended to start trying to get pregnant immediately after the end of the rehabilitation process.

Pregnancy after removal of a polyp in the uterus - features and course

If the pregnancy occurred after the removal of the neoplasm and the normalization of the state of women's health in general, its course is not very different from any other pregnancy, in the anamnesis of which there was no manipulation to remove the polyp. Pregnancy after removal glandular polyp also occurs at the same time as when removing another type of neoplasm of the endometrium of the uterus. There are also situations when the polyp is removed, the body is restored and the woman becomes pregnant. But suddenly, on an ultrasound, the doctor again discovers a polyp. Is it worth worrying about this and can new growth threaten pregnancy? unnecessary reasons no worries, especially since the polyp itself consists of the same cells that line the inner surface of the uterus. When such a picture is found, strict medical control and adherence to all recommendations of doctors. In the vast majority of cases, pregnancy can be safely carried to term.

Pregnancy after removal of the polyp of the cervical canal

Such a neoplasm as a polyp can affect not only the uterus, but also its neck.

What is a cervical canal polyp

Excessive cell division, which underlies the formation of a polyp, can occur not only in the uterine cavity, but also in its neck - the cervical canal. By analogy with a uterine polyp, a neoplasm in the cervical canal is attached with a leg. The localization of the polyp is the external pharynx of the cervix (the transition from the vagina to the cervical canal). The most common cause of the disease is hormonal disorders. Pathology very often has a latent course and can be detected already during pregnancy, presenting serious threat last. Neoplasm can be detected as visual inspection in the mirrors, and during transvaginal ultrasound.

Treatment of a polyp of the cervical canal

Unfortunately, a neoplasm in the cervix cannot disappear on its own. Moreover, the glandular and glandular-fibrous form of the polyp has an oncogenic risk (higher than the fibrous form).

Important!
Removal of the polyp of the cervical canal is shown regardless of the type of neoplasm.

The safest and most painless way to remove a polyp is to perform a hysteroscopy. If this species therapy is not possible, other methods of polyp removal are used:

Cryodestruction (use of low temperatures).
Cauterization (diathermocoagulation).
Laser excision.
Amputation of the cervix - the indication is the presence of atypical cells, frequent relapses. reproductive functions women are saved.

And although polyps belong to the category of benign neoplasms, the removed material is subject to mandatory histology.

Pregnancy after removal of a polyp of the cervical canal - when to plan a baby

If the therapy was performed in a timely manner (before pregnancy), you can start planning the baby after the end rehabilitation period. Most often, full functional recovery occurs within 1-3 months after the operation. The formation of polyps is a pathology prone to relapse, so you should not put off trying to get pregnant for too long either.

A pregnancy that develops after a polyp is removed is no different from any other pregnancy. Fears can arise only in cases of detection of a polyp during the bearing of a child. However, there is no need to worry too much. Most often, the doctor observes the pathology, it can be prescribed local treatment to relieve inflammation. Only large (more than 1 cm) and rapidly growing neoplasms pose a threat.

Pregnancy after polyp removal: reviews of women

Despite the seriousness of this pathology, women's reviews suggest that it can be treated quite successfully. The vast majority of women who underwent removal of the neoplasm note that pregnancy occurred in the first cycles after the abolition of contraception and proceeded without any features. An important factor is the reason for the lack of pregnancy. Removal of a polyp almost always leads to a trouble-free conception only in cases where other health indicators (not only for women, but also for men) are normal. If conception does not occur even after the operation to remove the polyp, it may make sense to spend more thorough examination and both partners.

Is pregnancy possible immediately after polyp removal?

Summing up, we can say for sure that a polyp of the uterus or cervical canal is not a sentence. Of course, it is faster and easier to get pregnant in cases where the cause of infertility was the polyp itself, which created mechanical obstacles to conception. Problems with conception can also be of a hormonal nature (and polyps often occur precisely because of hormonal disorders). Therefore, it is very important not only to remove the neoplasm, but also to check hormonal background women and, if necessary, to correct it. If the absence of pregnancy was provoked by other factors, the removal of the polyp rarely affects the success of conception. However, the presence of this formation is a pathology that cannot be ignored. The health of the body is important and right move on the way to happy motherhood.

Endometrial polyps are a fairly common pathology of the uterine cavity, which is considered one of the causes of infertility, although not fully proven. Gynecologists agree on one thing: after removing the polyp, the likelihood of pregnancy increases.

What is a polyp?

To this day, the reasons for the appearance have not been fully studied. They may appear either as a result of hormonal disruptions, either as a result of chronic inflammatory processes in the pelvic cavity, or after surgical abortions. Most often, endometrial polyps are found in women who have already given birth, as well as in women with impaired metabolism, arterial hypertension And .

An endometrial polyp is a kind of "growth" in the uterine cavity. Most often he oval shape and ranges from a few millimeters to several centimeters. The polyp has the same structure as the endometrium, because it is an outgrowth of the endometrium. By their nature, polyps are usually benign and rarely cause serious harm to a woman’s health, they do not even have special symptoms and usually reveal a polyp by “accidentally” conducting a routine ultrasound, either by examining a woman after unsuccessful IVF attempts, or by diagnosing the causes of infertility.

How is a polyp treated?

Most likely, the polyp itself is not the cause of infertility, however, it is the causes of its appearance that are also the causes of infertility, therefore, after identifying the polyp, doctors immediately recommend removing it - this is how uterine polyposis is treated.

Polyps are removed using (a targeted method of removal), because “blindly” removing such a growth is not only dangerous, but also ineffective, because each polyp has its own “leg”, which is very important to remove, otherwise it will become the “base” of new growths.

After the operation, the removed polyp must be given for histological analysis. Very rarely, adenomatous polyps of the endometrium, or polyps with the presence of altered (cancerous) cells, are possible. After receiving the tests, the doctor decides how the subsequent treatment will proceed. If the polyp turned out to be "cancerous", then the oncologist continues the treatment. However, we remind you that this happens very rarely, so you should not panic.

Usually treatment consists of taking hormonal drugs(appoint hormonal contraceptives for 2-3 months), as well as antibacterial therapy.

When does pregnancy occur after polyp removal?

With pregnancy after the removal of the polyp, you should not “drag out”, because relapses are very often possible (new polyps, especially if the “leg” of the previous growth has not been completely removed). Getting pregnant after polyp treatment is quite easy, especially after hormonal therapy. The stories of the "experienced" testify that long-awaited pregnancy occurs 3-6 months after the removal of the polyp.

There are also cases when pregnancy develops along with a new polyp. Gynecologists reassure that the growth does not pose any danger to the fetus. Pregnancy will pass without complications, and immediately after childbirth, you will have a polyp removed.

So ladies, don't worry. The presence and removal of a polyp is not an obstacle to a long-awaited pregnancy.

Especially for- Tanya Kivezhdiy

Pregnancy after removal of polyps is possible immediately, after the end of the recovery period. Despite this, many women are forced to undergo additional examinations to prevent complications during pregnancy.

If the polyp has already been diagnosed, then it will not be able to resolve in any way. The only appropriate treatment is surgery. The postoperative period requires mandatory compliance with all doctor's recommendations for quick recovery female body.

Modern techniques allow women with unrealized motherhood to give birth to their own children soon after the operation. However, pregnancy planning should be carried out with extreme caution.

Methods for removing uterine polyps

Removal of polyps is performed by several methods, which are selected based on:

general clinical history of the woman,
laboratory and instrumental research,
nature of the polyposis
risks of malignant growths.

The only adequate treatment for an endometrial polyp is surgery.

Allocate the following types intervention:

Polypectomy. Removal occurs by twisting the polyp until it is torn off. After that, the wound is cauterized with electrodes or liquid nitrogen. Next, the polyp is sent to histological examination. A week after the operation, a control ultrasound is performed.
curettage. surgical procedure, known as curettage, implies a. Often the procedure is complicated by postoperative infection and recurrence of polyposis.
Ablation of the uterine cavity. Ablation is used in women middle age with realized motherhood, or in women with a risk of polyp degeneration into a malignant tumor.
Removal is carried out with a laser, radio frequency waves, liquid nitrogen, electric currents. After ablation, a woman is unable to carry a child on her own.
. The procedure is therapeutic and diagnostic in nature, refers to endoscopic methods removal of polyps.
The main advantage is the ability to diagnose and simultaneously remove polyps using powerful optical equipment. In addition, recovery after such manipulation is much faster.
Hysterectomy or high amputation . radical method treatment of polyposis in cases of suspected oncogenic degeneration of neoplasms and growth of metastases. The uterus is removed along with the appendages.

The most common method is polypectomy - organ-preserving surgical technique, allowing a woman to realize the desired motherhood in the near future.

Removed a polyp - factors affecting the delay in pregnancy

In the vast majority, the removal of uncomplicated polyps does not lead to serious consequences and problems with the subsequent bearing of the child. Many women manage to successfully conceive within a month after the operation. However, there are factors that can delay a long-awaited pregnancy.

Hormonal disorders

An unstable level of sex hormones is common cause conception delays. Usually, clinicians are faced with a significant excess in the level of estrogens - female sex hormones. On the one hand, in such a situation, the chances of conception increase. On the other hand, instability in the ratio of hormonal balance can provoke rejection of the fetal egg.

The most common method of removing polyps is polypectomy - an organ-preserving surgical technique that allows a woman to realize the desired motherhood in the near future.

With unsuccessful attempts against the background of hormonal disorders, there are risks of recurrence of polyposis.

Infectious diseases

The postoperative condition of women is often complicated by infection. If the infection has become a trigger for the formation of polyps, then the penetration of pathogenic environments into the postoperative wound is quite large.

Infection can penetrate with insufficient sanitation of equipment and antiseptic treatment genital organs after manipulation.

Infections affect the possibility of carrying a pregnancy, which is expressed in the following manifestations:

Recurrent polyposis;
Intrauterine infection of the embryo and growing fetus;
Malformations and anomalies in the development of organs, systems of the unborn child;
Risks of miscarriage in early and late periods.

To avoid infectious complications pregnancy should be planned at the end antibiotic therapy.

Along with the usual examinations, you should donate blood for polymerase chain reaction, bacteriological analysis for the absence of active infection.

adhesive process

Spikes are possible after curettage of the uterus. Curettage causes severe trauma to the uterus, so recovery requires several months. The formation of adhesions is due to the formation of strands, which can become an obstacle in the successful planning of pregnancy. Adhesions require repeated removal.

To prevent the risk of adhesions, it is necessary:

follow all doctor's recommendations;
attend sessions of electrophoresis, magnetotherapy, laser therapy, therapeutic gymnastics, ultrasound therapy sessions.

Anemia bleeding

After removal of polyps, internal bleeding is possible.

Due to blood loss:

iron deficiency anemia develops
the level of hemoglobin and the volume of erythrocytes decrease.

In such a situation, conception and normal pregnancy difficult.

If pregnancy occurs, the fetus develops chronic hypoxic syndrome.

To prevent anemia, the following recommendations are required:

Medical rehabilitation therapy iron preparations;
Elimination of bleeding;
Power correction.

Women need to undergo regular examinations by a doctor, ultrasound examinations, blood and urine tests for the full implementation of healthy motherhood.

General malaise, weakness

Fatigue and stress can weaken a woman's body. Often, menstrual irregularities join, and therefore problems with normal conception.

The formation of adhesions is due to the formation of strands, which can become an obstacle in the successful planning of pregnancy.

With absence serious complications experts advise planning a pregnancy in the next 2-3 months after the removal of polyps.

Firstly, sparing techniques exclude severe trauma to the uterine cavity. Secondly, there are always risks of recurrence of polyposis, after which it will be required new procedure removal.

Is it possible to get pregnant after scraping?

It is worth understanding one thing - pregnancy after treatment of polyposis becomes more real than before surgical treatment.

Any operation requires a certain recovery period, and therefore it is important for a woman:

pass the drug treatment,
do a follow-up ultrasound
get tested for the absence of infection and start trying to conceive.

The total duration of the postoperative period varies between 7-12 weeks. Only if there are no complications and the course of medical correction is completed, one can think about procreation.

How long can I get pregnant after hysteroscopy?

After hysteroscopy, the chances of successful conception and completion natural pregnancy increase many times, but it is impossible to determine the exact dates. Pregnancy can occur immediately or years later.

In the absence of pregnancy, a woman will have to undergo additional diagnostics on the subject:

infectious diseases,
conditions of the endometrium of the uterus,
features of ovulation in women.

You may have to undergo a long course of hormone replacement therapy. It is important to analyze the quality of spermatozoa in men.

In practice, women of reproductive age have the opportunity to conceive within 4 weeks to six months after surgical treatment of polyposis in the absence of complications.

The specialist in this video tells more about planning pregnancy after the curettage procedure:

The chances of getting pregnant after removing polyps are much higher in women of reproductive age. It is impossible to predict the exact dates due to the individuality of each organism. The reproductive activity of women is determined by many various factors, including the traumatic effect on the endometrium as a result of therapeutic and diagnostic measures.

When planning a child, a woman may face a number of gynecological problems that prevent the onset of a long-awaited pregnancy. Among such pathologies, which until recently was considered one of the main causes of infertility, is the endometrial polyp. Thanks to modern methods of treatment, today a woman with such a diagnosis may well become pregnant, endure and give birth healthy child. However, in some cases, she will have to face certain difficulties. About whether pregnancy is possible after removal of the polyp and after what time it is recommended to plan conception, we will tell in our article.

IN gynecological practice exists whole line reasons why the long-awaited pregnancy never occurs. One of them is the presence of a small growth on the inner lining of the uterine mucosa. This neoplasm is a polyp. It is a benign body consisting of endometrial cells, the size of which varies from 1-2 mm to the size of a walnut.

Polyp - an outgrowth of the mucous membrane of an oval shape on a leg. Even if its size is no larger than a pea, it will interfere with the attachment of a fertilized egg to the uterine endometrium. Sometimes polyps are formed not only in the uterine cavity, but also in the cervical canal. Such a neoplasm is not always an obstacle to the onset of pregnancy, but it can be a threat to its normal course.

Most often, an endometrial polyp does not cause any discomfort to a woman. Usually it is discovered by chance during the next medical examination or undergoing an examination due to the fact that pregnancy does not occur for a long period of time.

Symptoms of pathology

characteristic features the appearance of a polyp on the mucous membrane of the body of the uterus does not exist. However, most women experience a number of symptoms that can be caused by comorbidities:

pulling pain in the lower abdomen during menstruation or before its onset;
spotting discharge from the vagina, which begins some time before the onset of menstruation and ends after them;
blood after intercourse;
prolonged menstruation with meager secretions;
plentiful curdled discharge grayish-white color with an unpleasant odor.

If the neoplasm was discovered during the examination after several unsuccessful attempts to conceive a child, all women, without exception, are concerned about the question of how soon to expect pregnancy after removal of the polyp. In this case, much depends on individual characteristics organism and terms of the recovery period. It is necessary to strictly follow all the recommendations of the doctor and not refuse hormone therapy.

Causes of the formation of an endometrial polyp

Doctors still cannot say exactly why growths appear on the inner layer of the uterine mucosa. But there are a number of predisposing factors that contribute to this:

Hormonal disorders.
Damage to the endometrium during curettage (abortion).
chronic inflammation in the small pelvis.

All of these problems are most often detected in women who have already given birth. They have trouble planning next pregnancy. After removing the polyp in the uterus, they will be able to conceive and give birth to a long-awaited child without any problems. The risk group also includes women with metabolic disorders, overweight And diabetes in history.

Treatment methods and consequences

The only way to get rid of a polyp is to remove it surgically. But since in gynecological practice there have been cases of resorption of neoplasms found in the current menstrual cycle, it is recommended to resort to such radical treatment options after the next menstruation.

Removal of polyps is performed by several methods, the choice of which depends on several factors:

general clinical picture;
results of laboratory and instrumental studies;
the nature of the neoplasm;
risk of malignant transformation.

The removed polyp must be sent for histology. And only by its results can we talk about planning a pregnancy. After the type is removed, conception may have to be postponed indefinitely, since this neoplasm has great prerequisites for degeneration into a malignant tumor.

Allocate following methods removal of growth on the mucous membrane:

Hysteroscopy. The advantage of this procedure is the possibility of simultaneous diagnosis and removal of the polyp using powerful optical equipment. When doing this endoscopic technique the doctor accurately sees the location of the neoplasm and removes it along with the leg under the root.
Curettage. Next procedure is a surgical curettage of the uterine cavity. The technique has a number of disadvantages due to the high risk of infection and recurrence of polyposis.
Polypectomy. This common surgical technique involves twisting the stem of the polyp until it is torn off. Then the attachment site is treated with liquid nitrogen or electrodes.
Ablation of the uterine cavity. The presented method is applied only to women of mature age who have high risk transformation into cancer. The procedure uses high-frequency radio waves, a laser, a liquid nitrogen or electrodes. The disadvantage of the technique is that pregnancy does not occur after it is carried out.
Hysterectomy. During this operation, the uterus is removed along with the appendages.

Is it possible to conceive immediately after surgery

After the removal of the polyp before pregnancy, a certain recovery stage must go through. On average, it is 2-3 months. At this time, a woman should avoid sexual intercourse, physical activity, sports, exclude the adoption hot bath, baths and saunas. This will prevent infection of the wound formed during the operation to remove the endometrial polyp in the uterus.

Pregnancy after surgery can be difficult. That is why recovery period, during which hormonal and antibacterial therapy is prescribed, is mandatory.

Many women often ask their doctor about whether pregnancy can occur immediately after the removal of the polyp. Yes, indeed, it is possible. The probability of conception is quite high even before the onset of the first menstruation after surgery. But, firstly, the very fact of conception is a violation of the doctor's recommendations. And secondly, in order to avoid complications during pregnancy, it is better to wait a little.

The body of every woman has its own characteristics. Therefore, no doctor can give an exact answer to the question of when the pregnancy will occur after the removal of the polyp, after how many months this will happen. One thing is clear that this will happen when the body is fully restored after the operation and is ready to bear the baby.

You can talk about pregnancy after removal of a polyp of the cervical canal or endometrium after 1-3 menstrual cycles. It is worth noting that conception can occur as early as the next cycle after the removal of the build-up, but whether a woman can bear a child in this case is a moot point. This is explained by the fact that one of the sections of the uterine mucosa was injured.

Before planning a pregnancy, you must:

do a vaginal ultrasound;
make sure there is no inflammatory diseases in the small pelvis;
get tested for infections;
check hormones.

If the results of the studies are normal, and the woman herself does not complain about her well-being, the gynecologist will allow her to start planning a pregnancy. By the way, you should not delay this process either, since such a disease has a tendency to relapse.

What are the difficulties in conceiving?

In most cases, the removal of simple polyps does not lead to any negative consequences. In the future, this does not interfere with the normal bearing of the child. Usually, after removal of the polyp, pregnancy occurs in the first 6 months after surgery. However, there are a number of factors that can delay conception indefinitely. These include:

Hormonal disorders. An unstable level of sex hormones is one of the prerequisites for the formation of polyps in the body. For the same reason, if the hormonal background is not restored after the operation, relapses of polyposis are possible.
Adhesive processes. Adhesions are formed as a result of trauma to the uterus during curettage. Further safe pregnancy only possible after they have been removed.
Infections. Any operation negatively affects the state of a woman's immunity. Under such conditions, there high probability accession of infections. If they are not cured before the onset of pregnancy, complications such as miscarriages on early dates, infection of the embryo and fetus, intrauterine malformations. That is why conception should be planned only after the completion of antibiotic therapy.
Minor bleeding. The result of anemic internal bleeding may be a decrease in the level of hemoglobin in the blood and the volume of red blood cells. In this condition, pregnancy is difficult, and if it does occur, then there is a high risk of developing hypoxia in the fetus.
General malaise. stressful situations, lack of sleep, unbalanced diet- all this leads to disruption of the menstrual cycle and prevents normal conception. After removal of the polyp, it is recommended to conduct healthy lifestyle life, give up bad habits and plan to conceive 3 months after surgery.

Features of the course of pregnancy

Bearing a fetus after removal of a polyp usually occurs without any nuances if the woman has fully recovered from the operation and has undergone appropriate medical treatment. Perhaps, more attention will be paid to her during the management of pregnancy, which is associated with the recurrent nature of the pathology.

IN medical practice relapses of polyposis occur quite often. Therefore, if at the next ultrasound it is revealed that a polyp has grown again in the uterine cavity or in the cervical canal, you should not worry. Usually this does not affect the course of pregnancy. cervical polyp made up of the same cells as inner surface uterus, so it does not pose any threat to the development of the baby, unless its size exceeds 1 cm.

Thus, pregnancy after removal of the polyp is no different from the usual one and in most cases passes without any complications.

Preventive actions

Minimize the risk of polyps in a woman's body will help the following actions:

Regular visits to the gynecologist 2 times a year. Preventive checkups and screening for hormones and infections can help reduce the risk of polyps.
Timely treatment identified infections and hormonal disorders.
Prevention of abortion. Nothing so injures the endometrium as the procedure for curettage of the uterine cavity.
Compliance intimate hygiene.
Seek immediate medical attention if spotting occurs between periods or pulling pains lower abdomen.

No matter what, a woman should not panic if she has a polyp in her uterus. Pregnancy after removal of such a neoplasm usually occurs fairly quickly. Modern methods treatment of the growth allows you to get rid of it without injuring the inner layer of the uterus.

Removal of a polyp: reviews of pregnancy after surgery

Most women who have undergone surgery to remove an endometrial neoplasm note that this pathology is quite treatable. Many of them had a successful pregnancy already in the next menstrual cycle after the abolition of hormonal drugs. After the removal of the endometrial polyp, literally every woman took antibiotics and contraceptives. This is one of mandatory conditions recovery of the body after the operation.

For successful pregnancy It is important that both partners are healthy at the time of conception. If you look for new reasons for not getting pregnant, then during this time the polyp can form again. It was this problem that some women faced as early as 1 year after the previous surgical intervention.